Hours 10:00am to 10:00pm
Call to Schedule an Appointment
516-615-8586 516-615-8586

Careers

OnCallCare Application

Please fill out the form below to apply for a position at OnCallCare
*Indicates a required field.

Personal Information

First Name*

Middle Name

Last Name*

Phone

Cell*

Email*

Address*

City*

State*

Zip*

Languages Spoken*
 

Application Information

When are you be available to begin work?*
 

Provider Type:*
PA
NP

Applying for:*
Full-Time
Part-Time

Hours Available
Monday to
Tuesday to
Wednesday to
Thursday to
Friday to
Saturday to
Sunday to
 

Salary Expectations: (Please provide range)*

Have you ever worked for this company?*
Yes
No
Do you have any relatives or friends who work for the company?*
Yes
No
 

Are you legally eligible to be employed in the United States?*
Yes
No

Would you need sponsorship to work?*
Yes
No

How did you hear about us?
 

Medical Qualification

Education Completed in the US*
Yes
No

 

 

Degree Completed at*

Type of Degree*

PA License #

PA Certification #

What states are you licensed in?

PA Certification Expiration Date

NP License #

NP Certification #

What states are you licensed in?

NP Certification Expiration Date

Specialty

Certificate #

Certificate Date

Second Specialty

Expiration Date

Re-certificate Date

Are you registered with CAQH?
Yes
No